AUGMENTING SIMPLIFIED HABIT REVERSAL IN THE TREATMENT OF ORAL-DIGITAL HABITS EXHIBITED BY INDIVIDUALS WITH MENTAL RETARDATION

We investigated whether a simplified habit reversal treatment eliminates fingernail biting and related oral-digital habits exhibited by individuals with mild to moderate mental retardation. Although simplified habit reversal did little to decrease the target behaviors for 3 of 4 participants, simplified habit reversal plus additional treatment procedures decreased the behavior to near-zero levels for all participants. These procedures included remote prompting, remote contingencies involving differential reinforcement plus response cost, and differential reinforcement of nail growth. Limitations of habit reversal for individuals with mental retardation along with directions for future research involving therapist-mediated treatment procedures, particularly those involving remote prompting and remote contingencies, are discussed.     

SIMPLIFIED HABIT REVERSAL TREATMENT FOR CHRONIC HAIR PULLING IN THREE ADOLESCENTS: A CLINICAL REPLICATION WITH DIRECT OBSERVATION

Three developmentally normal adolescents with chronic hair pulling were treated with a simplified habit reversal procedure consisting of awareness training, competing response training, and social support. Treatment resulted in an immediate reduction to near-zero levels of hair pulling, with one to three booster sessions required to maintain these levels. The results were maintained from 18 to 27 weeks posttreatment, although 1 participant reported difficulty at follow-up. The effectiveness of simplified habit reversal and suggestions for future research are discussed.     

公共政策情境中行为习惯的形成机制与培养策略

引导社会成员重塑日常良好行为习惯是增强公共政策有效性的重要路径和切入点, 洞悉并把握行为习惯的形成机制对具体培养策略的制定和实施大有裨益。行为习惯是指通过高频重复的奖励习得, 在记忆中形成的情境与反应之间的内隐联结。作为一种特殊的内隐记忆系统, 行为习惯具有自动化、情境线索依赖性、对当前奖励低敏感性等特征。行为习惯的形成机制包含两个独立且共发的习得机制, 即联结习得机制和奖励习得机制。在日常良好行为习惯的形成初期, 目标引导着个体对行为价值的习得。在培养社会成员日常良好行为习惯的过程中, 应将情境线索的稳定性、高频行为的低认知重复以及奖励的合理设置, 作为公共政策助推社会成员养成日常良好行为习惯的三大核心策略。未来的研究方向应着力于加强习惯研究的学科视阈融合, 更新行为习惯领域的研究范式, 重置公共设施以提升有益行为的易达性, 以及引入商业模式以共促社会成员日常良好行为习惯的重塑。     

Relax and try this instead: abbreviated habit reversal for maladaptive self-biting.

We evaluated the effectiveness of an abbreviated habit reversal procedure to reduce mal-adaptive oral self-biting in an adolescent boy in residential care. Treatment involved a combination of relaxation and two competing responses. Results of a withdrawal design and two posttreatment medical evaluations indicated that the intervention eliminated the biting and the tissue damage it caused.     

An evaluation of behavioral treatments for Tourette syndrome.

The present study evaluated the effectiveness of self-monitoring, relaxation training and habit reversal in the treatment of 6 Tourette Syndrome (TS) subjects with multiple motor and vocal tics. A counterbalanced design was employed and tic frequencies were measured in the clinic setting using videotapes taken through a one-way mirror. Tics were reduced by an average of 55% with habit reversal, 44% with self-monitoring, and 32% with relaxation training and each behavioral procedure was the most effective treatment for at least one subject. All three treatment approaches may have some utility in the behavioral treatment of TS.     

Awareness training reduces college students' speech disfluencies in public speaking

Recent research suggests that a modified habit reversal procedure, including awareness training alone or combined with competing response training, is effective in decreasing speech disfluencies for college students. However, these procedures are potentially lengthy, sometimes require additional booster sessions, and could result in covariation of untargeted speaker behavior. We extended prior investigations by evaluating awareness training as a sole intervention while also measuring collateral effects of treatment on untargeted filler words and rate of speech. We found awareness training was effective for all participants without the use of booster sessions, and covariation between targeted filler words and secondary dependent variables was idiosyncratic across participants.     

Experiments on habit reversal in the white rat following electro-convulsive treatment

Rats in a T-maze were taught two opposite habits successively, the first being heavily over learned compared to the second. One group of 14 rats was then given a series of 6 electroconvulsive shocks. The control group of 11 rats underwent a dummy procedure.

Tested subsequently the control group maintained the second habit but among the shocked animals some adopted the second habit and some the first. This was no evidence of habit reversal, however, for the behaviour of the shocked animals at the choice point was not distinguishable statistically from random behaviour.

The data of earlier workers are re-examined and, in all cases, animals said to have undergone habit reversal act as if at random.     

THE USE OF AN ENHANCED SIMPLIFIED HABIT-REVERSAL PROCEDURE TO REDUCE DISRUPTIVE OUTBURSTS DURING ATHLETIC PERFORMANCE

An enhanced simplified habit-reversal procedure was used with a 14-year-old boy who presented with a long history of disruptive, angry outbursts during tennis matches. Initial treatment involved simplified habit-reversal procedures delivered in a multiple baseline design across settings. Modest results led to additional supporting contingencies, including response cost. Results showed elimination of disruptive outbursts during both nontournament and tournament matches and highlight the importance of adding additional supporting contingencies to simplified habit reversal for some self-control problems.     

Positive correlation between measures of habitual responding and motivated responding in mice

Habit and motivation are thought to be separate processes, with motivated behavior often considered to be goal directed, whereas habits are defined by the absence of goal-directed control over behavior. However, there has been increasing interrogation of the binary nature of habitual versus goal-directed behavior. Furthermore, although drug and alcohol exposure can promote the formation of habits, drug seeking itself can also be highly flexible, pointing toward the need for complex consideration of the parallel processes that drive behavior. The goal of the current study was to determine whether there was a relation between motivation—as measured by progressive ratio—and habit—as measured by contingency degradation—and whether this relation was affected by ethanol exposure history and sex. The results showed that these measures were positively correlated such that greater contingency insensitivity was associated with achieving higher break points on the progressive-ratio task. However, this relation depended on reinforcement schedule history, ethanol exposure history, and sex. These point to potential relations between measures of habit and motivation and stress the importance of carefully parsing behavioral findings and assays. These findings are also expected to inform future substance use research, as drug history may affect these relations.     

Functional Analysis Identified Habit Reversal Components for the Treatment of Motor Tics

This study included brief functional analyses and treatment for motor tics exhibited by two children with Tourette Syndrome. Brief functional analyses were conducted in an outpatient treatment center and results were used to develop individualized habit reversal procedures. Treatment data were collected in clinic for one child and in clinic and school for the other child. Brief functional analysis results were mixed for each child, but provided useful information for informing unique habit reversal components for each child. Treatment results indicated reductions in motor tics for each child. Results are discussed in terms of utility of functional analysis for tics.     

Reducing speech disfluencies during public speaking using brief habit reversal

Recent research has evaluated the effects of brief habit reversal, consisting of either awareness training (AT) and competing response training (Mancuso & Miltenberger, 2016), or AT alone (Spieler & Miltenberger, 2017) in reducing speech disfluencies during public speaking. Although both formats of brief habit reversal reduced rates of speech disfluencies, results suggested that teaching a competing response (CR) may produce better outcomes. We aimed to replicate and extend those studies by evaluating the effects of AT and instructing the use of a CR (a silent pause) on rates of speech disfluencies and CRs during public speaking. Following training, all 4 participants demonstrated a reduction of speech disfluencies, and 1 participant demonstrated moderate levels of CRs when giving a speech in front of both a single experimenter and small audience. For 1 participant, generalized effects were demonstrated when presenting in front of a class.     

Challenging assumptions about habit: A response to Hagger (2019)

Widely cited literature assumes habits to be: (1) specific and rigid behavioral responses; (2) in response to location- and timing-stable, external contexts, (3) goal-independent, and (4) enacted without conscious awareness. Hagger (2019) recently reviewed this literature as it applies to the physical activity domain. The purpose of this article is to challenge these assumptions in favor of a habit conceptualization that is more applicable to physical activity: (1) behavioral instigation and/or execution can be habitual, allowing for variable responses to cues; (2) stable contexts can be internal or functional (cued by a preceding action) but may vary in timing and physical location; (3) a shift from external to internal goal dependence may characterize habit development; and (4) types of automaticity other than purely nonconscious enactment may characterize habitual action. I present theory and research that supports these alternative characterizations and discuss their ramifications for physical activity adoption and maintenance via habit.     

Assessing theoretical predictors of long-term medication adherence: Patients’ treatment-related beliefs,experiential feedback and habit development

Patient non-adherence to medication is a pervasive problem that contributes to poor patient health and high healthcare costs. Basic research and interventions have focused thus far on behaviour initiation factors, such as patients’ illness and treatment beliefs. This paper proposes two processes that occur after behaviour initiation that are theorised to contribute to prediction of long-term medication adherence: ‘coherence’ of patients’ beliefs from experiences with treatment and habit development. Seventy-one hypertensive patients reported their treatment-related beliefs, experiences related to treatment efficacy and medication-taking habit strength in a baseline interview. Patients then used an electronic monitoring pill bottle for approximately one month. Patients’ medication habit-strength was the strongest predictor of all adherence measures, explaining 6–27% incremental variance in adherence to that explained by patients’ treatment-related beliefs. Patients’ beliefs and experiences did not predict overall adherence, even for patients with ‘weaker’ habits. However, patients’ experiences were found to predict intentional non-adherence and habit strength was found to predict unintentional adherence. Practitioners may assess patients’ medication-taking habits to get an initial view of their likely adherence to long-term medications. Future research should assess the current theoretical predictions in a hypertension inception sample and in populations with symptomatic conditions.     

A behavioral quantal theory of brain function: an alternative to Lashley's continuity theory of mass action

A behavioral quantal theory of brain function is formulated on the basis of a newly discovered step-wise relationship invariably present among the findings of three experiments by Tsai, et al. on the effects of (1) cerebral decortication, (2) cranial x-radiation, as well as (3) insulin, metrazol, and electroconvulsive shocks upon white rats' adaptive behavior during their learning of successive habit reversals and one-trial reversal problems. Confirmatory results from earlier investigators who studied effects of various current strengths of ECS upon learning and retention of various maze habits are also cited in support of the behavioral quantal theory of brain function which is proposed here as a close-up, more refined alternative to Lashley's continuity theory of mass action.     

Habit and persistence

Voluntary behaviors (operants) can come in two varieties: Goal-directed actions, which are emitted based on the remembered value of the reinforcer, and habits, which are evoked by antecedent cues and performed without the reinforcer's value in active memory. The two are perhaps most clearly distinguished with the reinforcer-devaluation test: Goal-directed actions are suppressed when the reinforcer is separately devalued and responding is tested in extinction, and habitual behaviors are not. But what is the function of habit learning? Habits are often thought to be strong and unusually persistent. The present selective review examines this idea by asking whether habits identified by the reinforcer-devaluation test are more resistant to extinction, resistant to the effects of other contingency change, vulnerable to relapse, resistant to the weakening effects of context change, or permanently in place once they are learned. Surprisingly little evidence supports the idea that habits are permanent or more persistent. Habits are more context-specific than goal-directed actions are. Methods that make behavior persistent do not necessarily work by encouraging habit. The function of habit learning may not be to make a behavior strong or more persistent but to make it automatic and efficient in a particular context.     

习惯研究的现状与展望

习惯是一种由某特定线索引发并指向某特定目标(包括外显目标与内隐目标)的自动化反应。它具有过去有行为的重复、环境线索的稳定与自动化的反应等特征。关于习惯的测量方式主要采取自我报告法（如自我报告过去行为频率、自我报告习惯频率、自我报告习惯索引等）和反应频率测量法。对习惯的形成的理论解释主要有环境促进、态度促进、目标促进等几种观点。未来研究应继续深入探讨习惯的本质、整合形成机制的相关理论及开发更可靠方便的测量工具。     

Using brief experimental assessment of reading interventions for identification and treatment of a vocal habit

An 11-year-old boy presented in an outpatient clinic with a vocal habit that occurred during reading and conversation. A brief reading assessment was conducted to determine an effective intervention to decrease the habit. A modified version of the word error-correction procedure resulted in positive changes and was implemented by his mother during home reading practices. Significant decreases in the rate of vocal habit were observed during home reading probes, generalization probes, and follow-up.     

Experimental test of a planning intervention for forming a ‘higher order’ health-habit

Abstract

Objective: Habit-formation interventions may help individuals initiate and maintain behaviour change. This paper proposes and empirically tests the idea that it is possible for individuals to form ‘higher-order habits’, or behaviours that can be executed in more than one way, and still be habitual.

Design: Participants (N?=?82) were healthy adults randomly assigned to an action-and-coping-planning intervention for forming a ‘higher-order habit’ of filling half of their dinner plates with fruits and vegetables or a control condition. Key measures were collected at baseline and 1, 2 and 3 weeks post-baseline. Participants submitted 3 pictures per week of their dinner plates via snapchat/email.

Main Outcome Measures: Intrinsic motivation, habit strength and behavioural frequency for filling half their dinner plates with fruits and vegetables.

Results: Intervention participants reported significantly greater habit strength at each follow-up time point. Controls did show some degree of habit formation, despite not fully forming a habit. Behavioural automaticity increased despite consuming a variety of fruits/vegetables; results did not depend on participants’ intrinsic motivation to consume fruits/vegetables.

Conclusion: It may be possible for individuals to form ‘higher-order’ habits, which may be particularly important in health contexts, in which many target behaviours are complex and can be seen as higher-order.     

Reflections on Past Behavior: A Self‐Report Index of Habit Strength1

We argue that habit is a psychological construct, rather than simply past behavioral frequency. In 4 studies, a 12‐item index of habit strength (the Self‐Report Habit Index, SRHI) was developed on the basis of features of habit; that is, a history of repetition, automaticity (lack of control and awareness, efficiency), and expressing identity. High internal and test‐retest reliabilities were found. The SRHI correlated strongly with past behavioral frequency and the response frequency measure of habit (Verplanken, Aarts, van Knippenberg, & van Knippenberg, 1994). The index discriminated between behaviors varying in frequency, and also between daily vs. weekly habits. The SRHI may be useful as a dependent variable, or to determine or monitor habit strength without measuring behavioral frequency.